Form – NSW Fire Protection Accreditation Scheme Fire Safety Assessor (FPAS FSA)

Section A — Enrolment Details

Unique Student Identifier (USI)*

Please enter your USI above.

If you do not have a USI, you can create one here https://portal.usi.gov.au/student/Usi/Forgotten/Success

Is this an Application for Recognition of Prior Learning Only?*

Yes

Personal Details

Title*

Given Name(s)*

Surname*

Date of Birth*

Contact Details

Email*

Mobile*

Residential Address

Street*

Suburb*

Postcode*

State

Who is responsible for this booking?

Individual

Company

Company Details

Company Name

Purchase Order

If applicable

Street/PO Box

Suburb

Postcode

State

Contact Name

Company Phone

Company Email

Declaration

I declare that the information submitted is true and correct and that I have read and understood the Privacy Statement shown in the annexure of this enrolment form. I acknowledge that while I am enrolled as a student of Firefox Training Pty Ltd, I am subject to the policies and rules outlined in the Student Information. I have read and understood the Fees and Charges Information Sheet.

Signature — print name in box below to agree to declaration*

Parent to sign if under 18

Date*

Section B — Course Details

Fire Safety Measures

Pick which accreditation you require, a list of units will populate below.

Units Required

Please deselect any units you already have accreditation for and do not require as part of this training.

BSBOPS304 - Deliver and monitor a service to customers

CPPFES2004 - Identify and report on types of installed fire safety equipment and systems

CPPFES2010 - Inspect and test fire hose reels

CPPFES2011 - Install portable fire extinguishers, fire cabinets and fire blankets

CPPFES2020 - Conduct routine inspection and testing of fire extinguishers and fire blankets

CPPFES2026 - Inspect and test emergency and exit lighting systems

CPPFES2029 - Conduct functional tests on fire detection, warning and intercommunication devices

CPPFES2035 - Identify, inspect and test fire and smoke doors

CPPFES2037 - Inspect and test fire hydrant systems

CPPFES2039 - Identify, inspect and test passive fire & smoke containment products and systems

CPCPFS3040 - Conduct basic functional testing of water-based fire-suppression systems

CPCPFS3041 - Inspect and test fire pumpsets

CPCPFS3042 - Conduct annual routine service of complex water-based fire suppression system

PUAFIR403 – Assess building plans

PUAFIR507 – Inspect building fire safety systems

PUAFER003 – Manage and monitor facility emergency procedures, equipment and other resources

Notes

Please leave any comments or notes here to help us set up your enrolment

Section C — Fees

Combined Unit Cost Estimation

Price: $ 0.00

Based on the Fire Safety Measures selected this is an estimated cost of the units selected. If there are any adjustments to pricing required, You will be made aware prior to commencement for your pre approval.

Disclaimer

These units are required as part of the application to the FPAA for various Fire Safety Assesor Fire Safety Measures.

Once the units are complete, you must submit an application and relevant other requirements and fees to the FPAA to apply for your accreditation.

Annexure — Privacy Statement

Your personal information (including the personal information contained on this enrolment form), may be used or disclosed by Firefox Training Pty Ltd for statistical, administrative, regulatory and research purposes. Firefox Training Pty Ltd may disclose your personal information for these purposes to:

Commonwealth and State or Territory government departments and authorised agencies; and
NCVER.

Personal information that has been disclosed to NCVER may be used or disclosed by NCVER for the following purposes:

populating authenticated VET transcripts;
facilitating statistics and research relating to education, including surveys and data linkage;
pre-populating RTO student enrolment forms;
understanding how the VET market operates, for policy, workforce planning and consumer information; and
administering VET, including program administration, regulation, monitoring and evaluation.

You may receive a student survey which may be administered by a government department or NCVER employee, agent or third party contractor or other authorised agencies. Please note you may opt out of the survey at the time of being contacted.

NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the National VET Data Policy and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).